CMS Formulary

Displaying 179991-180000 of 1611142 results.
ID: 179991
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 212957
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179992
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2056897
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179993
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 746609
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28
ID: 179994
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 845512
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 179995
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 847734
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179996
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1002300
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28
ID: 179997
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1012899
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 179998
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1310138
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179999
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1310144
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 180000
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1310147
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0